• Surg. Clin. North Am. · Jun 2015

    Review

    Short esophagus.

    • Nicholas R Kunio, James P Dolan, and John G Hunter.
    • Division of General and Vascular Surgery, Advocate Medical Group, 745 Fletcher Dr, Suite 302, Elgin, IL 60123, USA.
    • Surg. Clin. North Am. 2015 Jun 1; 95 (3): 641-52.

    AbstractIn the presence of long-standing and severe gastroesophageal reflux disease, patients can develop various complications, including a shortened esophagus. Standard preoperative testing in these patients should include endoscopy, esophagography, and manometry, whereas the objective diagnosis of a short esophagus must be made intraoperatively following adequate mediastinal mobilization. If left untreated, it is a contributing factor to the high recurrence rate following fundoplications or repair of large hiatal hernias. A laparoscopic Collis gastroplasty combined with an antireflux procedure offers safe and effective therapy. Copyright © 2015 Elsevier Inc. All rights reserved.

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